Walgreen Co.
NPI 1104504695 · Pharmacy · Grand Saline, TX
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Walgreen Co. is a Pharmacy organization in Grand Saline, TX (NPI 1104504695).
Provider details
- NPI number
- 1104504695
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Walgreens Boots Alliance Inc
- Organization subpart
- Yes
- Authorized official
- Kira Taylor, Manager(217) 709-2351
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Walgreens #21481
- Doing business as
- Walgreens #21481
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Frequently asked questions
- What is Walgreen Co.'s NPI number?
- Walgreen Co.'s National Provider Identifier (NPI) is 1104504695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walgreen Co.?
- Walgreen Co. is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Walgreen Co. located?
- Walgreen Co.'s practice location on file with NPPES is 205 W Frank St, Grand Saline, TX 75140-1757.
- What is Walgreen Co.'s phone number?
- The practice phone number listed in the NPPES registry for Walgreen Co. is (903) 962-4063.
- Does Walgreen Co. accept Medicare?
- Walgreen Co. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Walgreen Co.?
- The authorized official listed on Walgreen Co.'s NPPES record is Kira Taylor, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walgreen Co.'s NPI active?
- Yes — Walgreen Co.'s NPI (1104504695) is active in the NPPES registry as of the last update on 2024-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.